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unwitnessed fall documentation

unwitnessed fall documentation

Apr 09th 2023

4 0 obj FAX Alert to primary care provider. hit their head, then we do neuro checks for 24 hours. Reporting. It includes the following eight steps: The first five steps comprise an immediate response that occurs within the first 24 hours after a fall. Being weak from illness or surgery. Yes, because no one saw them "fall." Depending on cause of fall restraint might be instituted such as a lap belt on wheelchair , or 4 side rails up on bed. This report should include. 3. In fact, 30-40% of those residents who fall will do so again. molar enthalpy of combustion of methanol. Whats more? Analysis. Sounds to me like you missed reading their minds on this one. Assist patient to move using safe handling practices. Nurses Notes: Guidelines On What Not To Chart, Baby Boomers and Hepatitis C: High-Risk Group with Low Rate of Testing, How the patient was discovered and all known. Specializes in NICU, PICU, Transport, L&D, Hospice. allnurses is a Nursing Career & Support site for Nurses and Students. * Check the central nervous system for sensation and movement in the lower extremities. As far as notifications.family must be called. } !1AQa"q2#BR$3br Content last reviewed January 2013. I am from Canada so my answer may differ but here the RPN does a range of motion assessment, head injury assessment, pain assessment, vitals, notifies the RN in the building who writes an incident report. Create well-written care plans that meets your patient's health goals. Appendix: Bibliography of Studies Implementing Fall Prevention Practices, www.sahealth.sa.gov.au/wps/wcm/connect/5a7adb80464f6640a604fe2e504170d4/Post+fall+management+protocol-SaQ-20110330.pdf?MOD=AJPERES&CACHEID=5a7adb80464f6640a604fe2e504170d4, www.nursingtimes.net/Binaries/0-4-1/4-1735373.pdf, U.S. Department of Health & Human Services, 2 = Pain from sternum/limb/supraorbital pressure, 3 = Nonspecific response, not necessarily to command, 2 = Shoulder adducted and shoulder and forearm rotated internally, 3 = Withdrawal response or assumption of hemiplegic posture, 4 = Arm withdraws to pain, shoulder abducts, 5 = Arm attempts to remove supraorbital/chest pressure, Tool 3N: Postfall Assessment, Clinical Review. All rights reserved. After reviewing the "Unwitnessed Fall' video respond to the following questions with a minimum of 200 words but no more than 300. <>>> Specializes in NICU, PICU, Transport, L&D, Hospice. This study guide will help you focus your time on what's most important. (Go to Chapter 6). I'd forgotten all about that. Could I ask all of you to answer me this? A frequently occurring job during on-call and out-of-hours shifts is reviewing a patient following a fall with this often being the responsibility of the most junior and inexperienced doctors. 4 0 obj Privacy Statement <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 5 0 R/Group<>/Tabs/S>> 5600 Fishers Lane stream Unless there is evidence suggesting otherwise, the most logical conclusion is that a fall has occurred. Specializes in no specialty! Sit back, let us do the work for you, and allow your residential care facility to become the leading care provider of the nation. Such communication is essential to preventing a second fall. Data Collection and Analysis Using TRIPS, Chapter 5. Increased staff supervision targeted for specific high-risk times. Observe for signs indicating stroke, change in consciousness, headache, amnesia, or vomiting. How do we do it, you wonder? * Observe the leg rotation, and look for hip pain, shortening of the extremity, and pelvic or spinal pain. "I went to answer the doorbell for the pizzaman" or "I'm looking for my pen under the bed" or "didn't I tie the rope into a pretty bow (the call bell !)?". Most facilities also require that an incident report be completed for quality improvement, risk management, and peer review. Any orders that were given have been carried out and patient's response to them. They are "found on the floor"lol. If a resident rolled off a bed or mattress that was close to the floor, this is a fall. National Patient Safety Agency. Failed to communicate to the appropriate stakeholders of HY's fall; c. Failed to complete the required post-fall documentation. More information on step 6 appears in Chapter 4. Before moving the patient, ask him what he thinks caused the fall and assess any associated symptoms. Continue observations at least every 4 hours for 24 hours or as required. Complete falls assessment. Documentation in the chart should clearly state: Incident reports are generated but are never part of the patient's chart and mention is never made in the nursing documentation in the chart that an incident report was made. Check vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation, and hydration). Moreover, it encourages better communication among caregivers. 4 Articles; Available at: www.sahealth.sa.gov.au/wps/wcm/connect/5a7adb80464f6640a604fe2e504170d4/Post+fall+management+protocol-SaQ-20110330.pdf?MOD=AJPERES&CACHEID=5a7adb80464f6640a604fe2e504170d4. If I found the patient I write " Writer found patient on the floor beside bedetc ". This includes creating monthly incident reports to ensure quality governance. endobj Medicationsantidepressants, antipsychotics, benzodiazepines, sedative/hypnotics and digoxin. The reason for the unwitnessed fall and seizure is the nurse's fault because the nurse did not get the medication to the patient or let anyone else know the medication was not available. Assess immediate danger to all involved. North East Kingdom's Best Variety pizza strips rhode island; spartanburg obituary 2020; 9 days novena to st anthony of padua pdf; shark tank cast net worth australia; marvel characters starting with e. churchill hospital jobs in oxford; Near fall (resident stabilized or lowered to floor by staff or other). Has 17 years experience. Choosing a specialty can be a daunting task and we made it easier. Because the Falls Assessment will include referrals for further workup by the primary care provider or other health care professionals, contact with the appropriate persons should be made quickly. Notify the physician and a family member, if required by your facility's policy. Rapid response report: Essential care after an inpatient fall, NICE's clinical knowledge summary on falls risk assessment, National Patient Safety Agency's rapid response report on essential care after an inpatient fall. This will save them time and allow the care team to prevent similar incidents from happening. F. Document fall: include time of fall, witnessed or unwitnessed, assessment of patient condition, position patient was found in, patient's input on what happened nursing actions taken, family called and physician notification time and orders G Complete documentation and QVR including post fall information Results of the Falls Assessment, along with any orders and recommendations, should be used by the interdisciplinary team to develop a comprehensive falls care plan within 1-7 days after the fall. If it was that big of a deal, they should have had you rewrite the note or better yet, you should have been informed during your orientation. Our supervisor always receives a copy of the incident report via computer system. Rockville, MD 20857 An immediate response should help to reduce fall risk until more comprehensive care planning occurs. unwitnessed fall documentationlist of alberta feedlots. Specializes in Med nurse in med-surg., float, HH, and PDN. A practical scale. The purpose of this alert is to inform the physician, nurse practitioner or physician's assistant of the resident's most recent fall as well as the resident's total number of falls during the previous 180 days. Is the fall considered accidental (extrinsic), anticipated physiologic (intrinsic), or unanticipated physiologic (unpredictable)? AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. Patient is either placed into bed or in wheelchair. Risk factors related to medical conditions or medication use may be reflected in abnormal values for any of the following: When indicated by the resident's condition and history, laboratory tests such as CBC, urinalysis, pulse oximetry, electrolytes and EKG should be performed. When a resident falls who has already been entered into the FMP, the nurse should send a FAX Alert to the primary care provider. | w !1AQaq"2B #3Rbr Get baseline vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation, temperature, and hydration). Evidence of local arrangements to ensure that hospitals have a post-fall protocol that includes checks for signs or symptoms of fracture and potential for spinal injury before the older person is moved. Service providers (NHS organisations with inpatient beds, such as district hospitals, mental health trusts and specialist hospitals) ensure that staff have access to and follow a post-fall protocol that includes undertaking checks for signs or symptoms of fracture and potential for spinal injury before moving an older person who has fallen. . A program's success or failure can only be determined if staff actually implement the recommended interventions. Telephone: (301) 427-1364, https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html, AHRQ Publishing and Communications Guidelines, Evidence-based Practice Center (EPC) Reports, Healthcare Cost and Utilization Project (HCUP), AHRQ Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase (USHIK), AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, About AHRQ's Quality & Patient Safety Work, The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities, Chapter 1. Assessment of coma and impaired consciousness. Patient experienced an unwitnessed fall resulting in a hip fracture (left femoral neck). If head trauma is known or suspected, neuro checks are done and documented per the facility's protocol (usually q15min x 1 hour, q 30 min x 2 hours, q 1 hour x 2 hours, q 2 hours x 4, q 4 hours x 4, q 8 hours x 4. Specializes in LTC/Rehab, Med Surg, Home Care. Nurs Times 2008;104(30):24-5.) He was awake and able to answer questions in regard to the fall, I took vitals, gave him a full body assessment, and FOUND out that he was just trying to get up out of bed and his legs gave out. (Figure 1). Record circumstances, resident outcome and staff response. View Full Site, TeamSTEPPS-Adapted Hospital Survey on Patient Safety Culture, Sharing our Findings: Project Dissemination, Acknowledge Use of CAPTURE Falls Resources, Tool 3N Post-Fall Assessment Clinical Review, The VA National Center for Patient Safety Falls Toolkit policy document, The 2018 Post-Fall Multidisciplinary Management Guidelines, The Post-Fall Assessment and Management Guide. 0000014699 00000 n R1 stated that the morning shift staff observed R1 with blood on their face, and immediately rendered medical aid and dialed 9-1-1. Charting Disruptive Patient Behaviors: Are You Objective? You follow your facility's P&P for falls, with all the ballyhoo assessments, notifications & paperwork, incl. Which fall prevention practices do you want to use? It is designed to assist nursing facilities in providing individualized, person-centered care, and improving their fall care processes and outcomes through educational and quality improvement tools. 0000105028 00000 n I would also put in a notice to therapy to screen them for safety or positioning devices. Rockville, MD 20857 Receive occasional news, product announcements and notification from SmartPeep. In the FMP, these factors are part of the Living Space Inspection. rehab nursing, float pool. x\moFn?-4fA`wC>$50WOU7aS5zjZ}j7w?ku&B_4)2Q:&Two~ aV_.gla2Ggq*,sAuR`?^I-0W4m?LF-Qcpq i0e33z13:] Assess circulation, airway, and breathing according to your hospital's protocol. This is basic standard operating procedure in all LTC facilities I know. They didn't think it was such a big deal.the word FOUND, was fine, so is the word, OBSERVED. | Data source: Local data collection. No dizzyness, pain or anything, just weakness in the legs. https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html. with variable performance around neurological assessments after an unwitnessed fall or a fall where the patient's head was struck. June 17, 2022 . Now, that I was interviewed for another nursing job recently, I ASKED them what word is proper documentation when writing on a fall. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. The MD and/or hospice is updated, and the family is updated. Create well-written care plans that meets your patient's health goals. 0000015185 00000 n Contributing factors to the fall included the following: - The fall risk assessment was not completed on admission as per policy. Five areas of risk accepted in the literature as being associated with falls are included. Simulation video: unwitnessed fall 1) What are signs and symptoms that place patients on fall precautions and what made this patient have them ordered. Notice of Privacy Practices 0000014271 00000 n 1-612-816-8773. To measure the outcome of a fall, many facilities classify falls using a standardized system. So if your handling of the occurence was incomplete and/or your documentation was seriously lacking, there would be a problem. 5. 2017-2020 SmartPeep. (Full citation: Jevon P. Neurological assessment part 4Glasgow Coma Scale 2. These symptoms suggest spinal cord injury, leg or pelvic fracture, or head injury. Appendix 1: WA Post Fall Guidelines: Definitions and explanatory notes 21 Appendix 2.1: Occupational therapy supporting information 23 Appendix 2.2: Occupational therapy sticker for patient's health care record 27 Appendix 3.1: Physiotherapy post fall guidelines cue card 28 Appendix 3.2. In the medical record, document the incident, outcome, and initial and ongoing observations, and update fall risk assessment and care plan. Changes in care and alternate interventions should be decided based on continued assessment of the resident and family input. It includes the following eight steps: Evaluate and monitor resident for 72 hours after the fall. How do you measure fall rates and fall prevention practices? For adults, the scores follow: Teasdale G, Jennett B. He eased himself easily onto the floor when he knew he couldnt support his own weight. Following a pilot audit we identified inconsistencies in medical assessment and documentation, with 50% of expected data points not recorded. %PDF-1.5 Your subscription has been received! Initially, vitals are taken, and if it's suspected (or confirmed) that the pt. Therefore, an immediate intervention should be put in place by the nurse during the same shift that the fall occurred. * Assess the current level of consciousness and determine whether the patient has had a loss of consciousness. strickland funeral home pooler, ga; richest instagram influencers non celebrity; mtg bees deck; business for sale st maarten Instead of things getting simpler with all our technology, seems to be getting much worse and more complicated. g" r Falls can be a serious problem in the hospital. Documentation of fall and what step were taken are charted in patients chart. Thus, monitoring staff follow-through on the unit is necessary once the care plan has been developed. As you review this chapter, it may be helpful to use the case study and materials presented in Appendix C to illustrate the Fall Response process. The Fall Response (Table 3) is a comprehensive approach that forms the backbone of the Falls Management Program (FMP). This level of detail only comes with frontline staff involvement to individualize the care plan. US Department of Veterans Affairs Post-Fall Procedures/Management: The VA National Center for Patient Safety Falls Toolkit policy document offers an example Post-Fall Management protocol (see Section VII and Attachment 3) and differentiates follow-up for patients with and without head trauma. Denominator the number of falls in older people during a hospital stay. The Glasgow Coma Scale provides a score in the range 3-15; patients with scores of 3-8 are usually said to be in a coma. An 80 year-old male was transported by ambulance to the emergency department (ED) for evaluation after experiencing an unwitnessed fall in a local nursing home. This will help to inform decisions about safe handling and ensure that any injuries are treated in a timely manner. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. Arrange further tests as indicated, such as blood sugar levels, x rays, ECG, and CT scan. unwitnessed fall documentation example. SmartPeeps AI system is here to do all the worrying for you when it comes to recording and collecting the data on falls among your residents, so you will be able to conveniently submit non-faulty data of all incidents in your care facility to the My Aged Care provider portal. Postural blood pressure and apical heart rate. Slippery floors. LTC responsewe do all of the above mentioned, but also with all of our incident reports we make a copy and give it to therapy, don, adm, social service and dietary. Training on the Glasgow Coma Scale is available at: www.nursingtimes.net/Binaries/0-4-1/4-1735373.pdf. Case manager of patient is notified of fall either by talking to them or leaving a voice message, family is notified of the fall. Provide analgesia if required and not contraindicated. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. At handover, inform all clinical team members about the incident, any changes to the care plan, and possible investigation process. Then, notification of the patient's family and nursing managers. To sign up for updates or to access your subscriberpreferences, please enter your email address below. [NICE's clinical knowledge summary on falls risk assessment], checks by healthcare professionals for signs or symptoms of fracture and potential for spinal injury before the patient is moved, safe manual handling methods for patients with signs or symptoms of fracture or potential for spinal injury (community hospitals and mental health units without the necessary equipment or staff expertise may be able to achieve this in collaboration with emergency services), frequency and duration of neurological observations for all patients where head injury has occurred or cannot be excluded (for example, unwitnessed falls) based on the NICE guideline on head injury. Rolled or fell out of low bed onto mat or floor. And decided to do it for himself. Past history of a fall is the single best predictor of future falls. Evaluation of the resident's condition before, during or immediately after the fall provides clues to possible causes. A copy of this 3-page fax is in Appendix B. Communication and documentation: Following a fall, the patients care plan will need to be reviewed. Safe footwear is an example of an intervention often found on a care plan. Step four: documentation. A response of "unknown" should rarely if ever be accepted by the nurse manager during the investigation of a fall. Sign in, November 2007, Volume :107 Number 11 , page - [Free], Join NursingCenter to get uninterrupted access to this Article. This means that aged care facilities must now provide error-free data to measure incidents across the 5 quality indicators - pressure injuries, physical restraint, unexplained weight loss, falls and major injuries, and medication management. A nurse's note is documented describing the known facts regarding the resident's fall and any interventions. Older people who fall in hospital are checked for fractures and possible injury to their spine before they are moved. To sign up for updates or to access your subscriberpreferences, please enter your email address below. g,= M9HPCpL__$~W1 lYKAge@(GxO5Gc{;|@;,cwwld;^7/C>v3{,d/:g^,slA{&-.nsC`7rTdUBYvO{R'9m5 Gs|OCQVSxBOAI% .>(B|(+9_F( OJqjn!a[bU{r+y3J%8$#&4kVlW`G Gkff*d z@A:"D`~`~m}X|N/WO1%XQ@CvS1 #N0=_R dlmouHq~G6o~]I7iB *9VT-'&+2@lV)L3JN&^t._-1Y:^=. ANY, ANY, ANY time, way, or how a pt is on the floor, it's treated as a fall incident, even if unwitnessed. Proportion of falls by older people during a hospital stay where the person is checked for signs or symptoms of fracture and potential for spinal injury before they are moved. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> He has been told repeatly to use the call bell( and you know the elderly they want to remain independent or dont want to wait as most of us wouldnt. Specializes in Geriatric/Sub Acute, Home Care. unwitnessed falls) are all at risk. the incident report and your nsg notes. However, most nursing instructors and facilities will tell you, do NOT document anything about an incident report in the nurse's notes. - Documentation was not sufficient; the post fall documentation was missing from the health record and there was no . Thought it was very strange. First notify charge nurse, assessment for injury is done on the patient. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. ?W+]\WWNCgaXV}}gUrcSE&=t&+sP? &`h,VI21s _/>\5WEgC:>/( 8j/8c0c=(3Ux1kw| ,BIPEKeEVt5 YeSDH9Df*X>XK '6O$t`;|vy%jzXnPXyu=Qww1}-jWuaOmN5%M2vx~GJfN{iam& # F|Cb)AT.yN0DV "/yA:;*,"VU xdm[w71 t\5'sS*~5hHI[@i+@z*;yPhEOfHa;PA~>]W,&sqy&-$X@0} fVbJ3T%_H]UB"wV|;a9 Q=meyp1(90+Zl ,qktA[(OSM?G7PL}BuuDWx(42!&&i^J>uh0>HO ,x(WJL0Xc o }|-qZZ0K , lUd28bC9}A~y9#0CP3$%X^g}:@8uW*kCmEx "PQIr@hsk]d &~=hA6+(uZAw1K>ja 9c)GgX % When a fall happens, we fill out a form (computerized), notify the family of the resident and the resident's doctor. This is basic standard operating procedure in all LTC facilities I know. Nursing Simulation Scenario: Unwitnessed Fall Intake and Output Nursing Calculation Practice Problems NCLEX Review (CNA, LPN, RN) I and O These Medical Lawyers seem to picky on word play and instill more things into a already exploding basket of proper legal terms that dont SOUND like this happened or that happening. The first priority is to make sure the patient has a pulse and is breathing. Has 12 years experience. allnurses is a Nursing Career & Support site for Nurses and Students. Death from falls is a serious and endemic problem among older people. You'd be shocked how many people will be perfectly fine then you find them in the floor the morning before discharge -- and they're wanting their stay "free.". B]exh}43yGTzBi.taSO+T$ # D w>yy#GO3z(,Vm$[aBFj5!M_TMPf(.>nT['as:&U)#[\z0ZW74{_,JG:wVR!` *J92XfU,h} Also, most facilities require the risk manager or patient safety officer to be notified. The Fall Interventions Plan should be used by the Falls Nurse Coordinator as a worksheet and to record the final interventions selected for the resident. Be sure to note the patient's thoughts about the cause of the fall and associated symptoms, and whether the patient lost consciousness. Reference: Adapted from the South Australia Health Fall Prevention Toolkit. The Falls Management Program (FMP) is an interdisciplinary quality improvement initiative. Post Fall Assessment for a Head Injury Here's what should be done by a nurse in the assessment of a patient who has fallen, hit her head or had an unwitnessed fall. Documenting on patient falls or what looks like one in LTC. If we just stuck to the basics, plain and simple, all this wouldnt be necessary. 0000014676 00000 n The Fall Interventions Plan should include this level of detail. . 0000014441 00000 n Telephone: (301) 427-1364, https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/postfall-assessment.html, AHRQ Publishing and Communications Guidelines, Evidence-based Practice Center (EPC) Reports, Healthcare Cost and Utilization Project (HCUP), AHRQ Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase (USHIK), AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, Fall Prevention in Hospitals Training Program, Fall Prevention Program Implementation Guide, Designing and Delivering Whole-Person Transitional Care, About AHRQ's Quality & Patient Safety Work. Record neurologic observations, including Glasgow Coma Scale. Record vital signs and neurologic observations at least hourly for 4 hours and then review. More information on step 8 appears in Chapter 4. As of 1 July 2019, participating in Australias National Aged Care Mandatory Quality Indicator Program has become a requirement for all approved providers of residential care services. unwitnessed falls) based on the NICE guideline on head injury. Go to Appendix C for a sample nurse's note after a fall. 25 March 2015 The exact time and cause of traumatic falls among senior residents might not be easy to document without error if they were unwitnessed. Important Communications In the medical record, document the incident, outcome, and initial and ongoing observations, and update fall risk assessment and care plan. Specializes in med/surg, telemetry, IV therapy, mgmt. Or better yet, what happens if an elderly is unable to accurately explain the causes of their fall due to diseases such as dementia? I don't remember the common protocols anymore. In other words, an intercepted fall is still a fall. Falling is the second leading cause of death from unintentional injuries globally. Who cares what word you use? I work LTC in Connecticut. sorry for that big wind up there I wrote.but I just get peed off at the system..I completely followed through with all documentation, incident report, calling the md, family, taking vitals, monitering the patient, alerting the CNA, so.I did all that but it was not good enough..only that little word."found" thanks guys, you are all the best. We have the charge RN do an assessment, if head injury is suspected we do neuro checks (usually q15min x 1 hour, q 30 min x 2 hours, q 1 hour x 2 hours, q 2 hours x 4, q 4 hours x 4, q 8 hours x 4), we chart on the pt q shift x 3 days. Then conduct a comprehensive assessment, including the following: * Check the vital signs and the apical and radial pulses. [2015]. Quality standard [QS86] The form should next be checked by the Falls Nurse Coordinator or director of nursing and any missing information such as emergency room visits, hospital admissions, x-ray results or additional medical tests added at a later time. 14,603 Posts. timescales for medical examination after a fall (including fast-track assessment for patients who show signs of serious injury, are highly vulnerable to injury or have been immobilised); medical examination should be completed within a maximum of 12 hours, or 30 minutes if fast-tracked. I don't understand your reprimand altho this was an unwitnessed fall, did you NOT proceed as a 'fall' and only charted in your nsg notes??? The descriptive characteristics of the witnessed and unwitnessed falls are shown in Table 1. I was just giving the quickie answer with my first post :). | she suffered an unwitnessed fall: a. [Adapted from the National Patient Safety Agency's rapid response report on essential care after an inpatient fall, recommendations 1 and 2, and expert consensus], Quality statement 1: Identifying people at risk of falling, Quality statement 2: Multifactorial risk assessment for older people at risk of falling, Quality statement 3: Multifactorial intervention, Quality statement 4: Checks for injury after an inpatient fall, Quality statement 5: Safe manual handling after an inpatient fall, Quality statement 6: Medical examination after an inpatient fall, Quality statement 7: Multifactorial risk assessment for older people presenting for medical attention, Quality statement 8: Strength and balance training, Quality statement 9: Home hazard assessment and interventions, What the quality statement means for different audiences, Definitions of terms used in this quality statement, Royal College of Physicians (2012) Report of the 2011 inpatient falls pilot audit, National Patient Safety Agency.

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